Individual
MISS NICOLE BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MA, MHS
Contact information
Practice address
31 PEARTREE LN, WILLINGBORO, NJ 08046-2709
(267) 456-4765
Mailing address
31 PEARTREE LN, WILLINGBORO, NJ 08046-2709
(267) 456-4765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00551500
NJ
101YP2500X
Professional Counselor
PC008130
PA
Other
Enumeration date
05/01/2015
Last updated
05/23/2016
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